DOMINIQUE AMBER LAZAR (NP-C) – Nurse Practitioner, NPI 1710643622

DOMINIQUE AMBER LAZAR (NP-C) is a healthcare provider. based in Sterling heights, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 4704329262 (MI). The NPI Number for DOMINIQUE AMBER LAZAR (NP-C) is 1710643622

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DOMINIQUE AMBER LAZAR (NP-C)
NPI
1710643622
Phone
(586) 488-3636
Address
43401 Schoenherr Rd
Enumeration Date
15 November 2021
Last Update Date
21 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693292887
Graduation Year
2021 (5 years ago)
PAC ID
3971981267
Group Practice PAC ID
3173590957
Professional Enrollment ID
I20220526002572
Address ID
MI490240700PO3770XCTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for DOMINIQUE AMBER LAZAR (NP-C)

  • 43401 Schoenherr Rd

    Sterling Heights, MI 483131961

    Phone: (586) 488-3636

    Fax: (586) 488-3635

    Type: Location

  • 48563 Montelepre Dr

    Shelby Township, MI 483154171

    Phone: (586) 864-8421

    Type: Location

  • N/A

    SHELBY TOWNSHIP, MI 483154171

    Phone:

    Type: Mailing

  • 32255 NORTHWESTERN HWY STE 165

    FARMINGTON HILLS, MI 483341505

    Phone: (248) 735-8272

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $590.

Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($301).

Total Amount

$590

General + Research + Ownership

Payments

43

Total payment records

General Amount

$590

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220526002572INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes14562$0
80307Testing for presence of drug, by chemistry analyzers9926$0
View full utilization report →

Insurance plans in this area (ZIP 48313)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173590957View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Pain Management, Anesthesiology, Interventional Pain ManagementMI
Physician AssistantMI
Pain ManagementMI
Pain Management, AnesthesiologyMI
Nurse PractitionerMI
Physical Therapist In Private PracticeMI
Physician AssistantMI
Pain Management, AnesthesiologyMI

Reviews

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Frequently asked questions

Is DOMINIQUE AMBER LAZAR (NP-C) listed with a National Provider Identifier?
Yes — DOMINIQUE AMBER LAZAR (NP-C) has NPI 1710643622 on file in the registry.
Would DOMINIQUE AMBER LAZAR (NP-C) appear as active to a payer?
You can treat DOMINIQUE AMBER LAZAR (NP-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DOMINIQUE AMBER LAZAR (NP-C)?
DOMINIQUE AMBER LAZAR (NP-C)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Michigan is DOMINIQUE AMBER LAZAR (NP-C) registered?
Use Sterling Heights, Michigan as the headline location for DOMINIQUE AMBER LAZAR (NP-C) here.
Can I trust this NPI listing for DOMINIQUE AMBER LAZAR (NP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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